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Female Genital Mutilation practices in Kenya: - Feed the Minds

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8.<br />

Although religion, aes<strong>the</strong>tics and social culture<br />

have been identified as features which contribute<br />

to <strong>the</strong> practice 4 , FGM rema<strong>in</strong>s primarily a cultural<br />

ra<strong>the</strong>r than a religious practice, occurr<strong>in</strong>g<br />

across different religious groups. FGM is not<br />

sanctioned by any religious texts. Although <strong>in</strong> some<br />

communities, religious <strong>in</strong>terpretations have been<br />

used to justify <strong>the</strong> practice. Hygiene and aes<strong>the</strong>tics<br />

are frequently quoted as factors support<strong>in</strong>g FGM,<br />

often underp<strong>in</strong>ned by beliefs that female genitalia<br />

are ugly, have a bad odour and can be made more<br />

beautiful by FGM. FGM is also seen as an essential<br />

step <strong>in</strong> mark<strong>in</strong>g <strong>the</strong> transition of a girl <strong>in</strong>to a mature<br />

woman, able to carry out <strong>the</strong> roles assigned to<br />

a woman, <strong>in</strong>clud<strong>in</strong>g marriage and childbear<strong>in</strong>g.<br />

FGM is also considered as help<strong>in</strong>g curb sexual<br />

drive and respect<strong>in</strong>g cultural/traditional heritage.<br />

PrevAlence oF FGm<br />

S<strong>in</strong>ce <strong>the</strong> 1990s, national and sub-national data<br />

collection on FGM has taken place <strong>in</strong> more than<br />

20 countries through <strong>the</strong> Demographic and Health<br />

Surveys (DHS), prompted <strong>in</strong> part at least by Toubia’s<br />

report, <strong>Female</strong> <strong>Genital</strong> <strong>Mutilation</strong>: A call for<br />

Global Action 5 . The collation of data by population<br />

characteristics such as age, ethnicity, religion,<br />

residence and education has enabled some of <strong>the</strong><br />

key factors <strong>in</strong>fluenc<strong>in</strong>g <strong>the</strong> prevalence of FGM to<br />

be better understood 3 . The picture which emerges<br />

is complex, with strong regional differences <strong>in</strong> <strong>the</strong><br />

prevalence of FGM <strong>in</strong> many countries, usually mirror<strong>in</strong>g<br />

<strong>the</strong> homelands of specific ethnic communities.<br />

In most, but not all countries, FGM prevalence<br />

is higher <strong>in</strong> rural than urban areas. There is also<br />

some evidence that education plays a role, with<br />

<strong>the</strong> daughters of well-educated women be<strong>in</strong>g less<br />

likely to be circumcised. There are exceptions,<br />

however, for <strong>in</strong>stance <strong>in</strong> Egypt, where education<br />

appears not to make a difference to whe<strong>the</strong>r a<br />

young woman is circumcised or not.<br />

4 Mohamud A Ali N and Y<strong>in</strong>ger N (1999) FGM programmes to<br />

date: What works and what doesn’t work. Geneva: WHO/PATH<br />

5 Toubia N (1993) <strong>Female</strong> <strong>Genital</strong> <strong>Mutilation</strong>: A call for Global<br />

Action. New York: Ra<strong>in</strong>bo<br />

<strong>in</strong>ternAtionAl<br />

eFForts on FGm<br />

Attempts to persuade communities to abandon<br />

FGM were first recorded by missionary and<br />

colonial authorities early <strong>in</strong> <strong>the</strong> twentieth century,<br />

and were largely seen as colonial imperialism 3 .<br />

The efforts of western fem<strong>in</strong>ists <strong>in</strong> <strong>the</strong> 1960s<br />

and 1970s were similarly regarded as be<strong>in</strong>g<br />

critical of <strong>in</strong>digenous culture and imposed by<br />

outsiders with <strong>the</strong>ir own agenda. However,<br />

attitudes began to change <strong>in</strong> <strong>the</strong> mid-1990s when<br />

<strong>the</strong> International Conference on Population and<br />

Development (1994) and <strong>the</strong> Fourth World<br />

Conference on Women (1995) took place <strong>in</strong><br />

Beij<strong>in</strong>g, <strong>in</strong> which FGM was portrayed as a health<br />

and human rights issue. It was acknowledged that<br />

efforts to encourage abandonment needed<br />

to <strong>in</strong>clude locally-led <strong>in</strong>itiatives and <strong>the</strong> full<br />

engagement of communities, health professionals<br />

and policy makers.<br />

In 1997, a jo<strong>in</strong>t <strong>in</strong>ternational statement aga<strong>in</strong>st<br />

<strong>the</strong> practice of FGM was issued by <strong>the</strong> World<br />

Health Organization (WHO), <strong>the</strong> United Nations<br />

Children’s Fund (UNICEF) and <strong>the</strong> United<br />

Nations Population Fund (UNFPA). In 2008, a new<br />

statement was released, with wider UN support<br />

and a stronger focus on <strong>the</strong> human rights, legal<br />

and policy dimensions. This statement was based<br />

on <strong>the</strong> research carried out <strong>in</strong> <strong>the</strong> <strong>in</strong>terven<strong>in</strong>g<br />

years, focus<strong>in</strong>g on <strong>the</strong> reasons for <strong>the</strong> cont<strong>in</strong>ued<br />

practice, <strong>the</strong> <strong>in</strong>creased <strong>in</strong>volvement of health<br />

professionals <strong>in</strong> carry<strong>in</strong>g out FGM to reduce <strong>the</strong><br />

health consequences, and <strong>the</strong> impact of various<br />

approaches to encourag<strong>in</strong>g <strong>the</strong> abandonment of<br />

FGM. It stressed that regardless of <strong>the</strong> reasons<br />

for its practice, FGM is harmful and violates <strong>the</strong><br />

rights and dignity of women and girls, <strong>the</strong> rights<br />

to health, security and physical <strong>in</strong>tegrity of <strong>the</strong><br />

person, <strong>the</strong> right to be free from torture and<br />

degrad<strong>in</strong>g treatment, and <strong>the</strong> right to life when<br />

<strong>the</strong> procedure results <strong>in</strong> death. The World Health<br />

Assembly resolution <strong>in</strong> 2008 (WHA61.16) called for<br />

an <strong>in</strong>tegrated approach to end<strong>in</strong>g FGM with<strong>in</strong> one<br />

generation through concerted action across health,<br />

education, f<strong>in</strong>ance, justice and women’s affairs,<br />

focus<strong>in</strong>g on advocacy, research and guidance for<br />

health services.

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